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Alliance Scale (alliance + scale)
Selected AbstractsIMPACT OF MARITAL AND PSYCHOLOGICAL DISTRESS ON THERAPEUTIC ALLIANCE IN COUPLES UNDERGOING COUPLE THERAPYJOURNAL OF MARITAL AND FAMILY THERAPY, Issue 2 2005Salima Mamodhoussen In this study, we describe the psychometric properties of the Couple Therapy Alliance Scale, revised (CTAS,r) and investigates the impact of marital and psychiatric distress on alliance. Seventy-nine couples in therapy completed a French version of the Dyadic Adjustment Scale and of the Psychiatric Symptoms Index at session one, and a French version of the CTAS,r at session three. Results indicate that the French version of the CTAS,r has adequate psychometric properties, although the subscales of the instrument are highly intercorrelated. Furthermore, marital adjustment predicts alliance scores, whereas psychiatric symptoms do not. Finally, male marital adjustment and female psychiatric symptoms are lower in couples where spouses have divergent perceptions of the alliance. Future research directions are discussed. [source] Is therapist alliance or whole group cohesion more influential in group psychotherapy outcomes?CLINICAL PSYCHOLOGY AND PSYCHOTHERAPY (AN INTERNATIONAL JOURNAL OF THEORY & PRACTICE), Issue 4 2008Trevor P. Crowe This study examined the differential ability of early in treatment measures of therapeutic alliance (Working Alliance Inventory), group cohesion (California Psychotherapy Alliance Scale for Group) and group climate (Group Climate Questionnaire) to predict outcome in a 16-session dynamic group psychotherapy for adults with major depression. Six successful therapy groups with 30 patients receiving psychodynamic group therapy were studied. Patient perceptions of the therapist alliance was not related to outcome, however, perceptions of levels of conflict and group members' ability to work actively and purposefully in treatment did predict outcome. Future research should further investigate how patients' perceptions of the whole group influence their clinical improvement. Copyright © 2008 John Wiley & Sons, Ltd. [source] Factorial and Construct Validity of the Revised Short Form Integrative Psychotherapy Alliance Scales for Family, Couple, and Individual TherapyFAMILY PROCESS, Issue 3 2008WILLIAM M. PINSOF PH.D The Integrative Psychotherapy Alliance model brought an interpersonal and systemic perspective to bear on theory, research, and practice on the psychotherapeutic alliance. Questions have been raised about the independence of the theoretical factors in the model and their operationalization in the Individual, Couple, and Family Therapy Alliance Scales. This paper presents results of a confirmatory factor analysis of the scales that delineated at least three distinct interpersonal factors as well as shorter versions of the three scales to facilitate their use in research and practice. The paper also presents the results of a study testing each factor's association with client retention and progress over the first eight sessions in individual and couple therapy. At least two of the interpersonal factors were uniquely associated with progress in individual and couple functioning. Implications of the results for theory, research, practice, and training in individual, couple, and family therapy are elaborated. RESUMEN Validez de constructo y factorial de las versiones cortas revisadas de las escalas de alianza en psicoterapia integradora para la terapia familiar, de pareja e individual El modelo de alianza psicoterapéutica integradora aplicó una perspectiva sistémica e interpersonal en la teoría, la investigación y la práctica de la alianza psicoterapéutica. Se cuestionó la independencia de los factores teóricos en el modelo y su operacionalización en las escalas de alianza en terapia individual, de pareja y familiar. Este artículo presenta resultados de un análisis factorial confirmativo de las escalas que delinearon por lo menos tres factores interpersonales distintos, como también versiones más cortas de las tres escalas para facilitar su uso en la investigación y la práctica. El artículo también presenta los resultados de un estudio que analiza la asociación de cada factor con la fidelización de clientes y la evolución durante las primeras ocho sesiones en terapia individual y de pareja. Por lo menos dos de los factores interpersonales estuvieron asociados exclusivamente con la evolución en el funcionamiento individual y de pareja. Se elaboran las implicancias de los resultados para la teoría, la investigación, la práctica y la capacitación en terapia individual, de pareja y familiar. Palabras clave: alianza, análisis factorial, validez de constructo, evolución/resultado, integración [source] Child,therapist alliance and clinical outcomes in cognitive behavioral therapy for child anxiety disordersTHE JOURNAL OF CHILD PSYCHOLOGY AND PSYCHIATRY AND ALLIED DISCIPLINES, Issue 6 2009Angela W. Chiu Background:, Few studies have examined the link between child,therapist alliance and outcome in manual-guided cognitive behavioral therapy (CBT) for children diagnosed with anxiety disorders. This study sought to clarify the nature and strength of this relation. Methods:, The Therapy Process Observational Coding System for Child Psychotherapy , Alliance scale (TPOCS-A; McLeod, 2005) was used to assess the quality of the child,therapist alliance. Coders independently rated 123 CBT therapy sessions conducted with 34 children (aged 6,13 years) diagnosed with anxiety disorders. Parents reported on children's symptomatology at pre- mid-, and post-treatment. Results:, A stronger child,therapist alliance early in treatment predicted greater improvement in parent-reported outcomes at mid-treatment but not post-treatment. However, improvement in the child,therapist alliance over the course of treatment predicted better post-treatment outcomes. Conclusions:, The quality of the child,therapist alliance assessed early in treatment may be differentially associated with symptom reduction at mid- and post-treatment. Results underscore the importance of assessing the relation between alliance and outcome over the course of therapy to clarify the role the child,therapist alliance plays in child psychotherapy. [source] Exploring therapeutic alliance in brief inpatient psychotherapy: a preliminary studyCLINICAL PSYCHOLOGY AND PSYCHOTHERAPY (AN INTERNATIONAL JOURNAL OF THEORY & PRACTICE), Issue 5 2010Mark A. Blais Abstract Background: Therapeutic alliance is one of the most widely investigated variables in psychotherapy research but few studies have explored its role in inpatient psychotherapy. Many factors likely contribute to the lack of inpatient alliance research including the short length of hospital stays, complexity of patient psychopathology and the burdensome quality of most alliance scales. This paper reports on the development and initial application of two comparable brief scales designed to capture patient and therapist alliance ratings. Method: Participants were 20 patients receiving supportive,expressive inpatient psychotherapy. The patients were predominantly depressed women. Baseline measures of distress, symptom severity and functioning were obtained at the first and third sessions. Measures of alliance were obtained at the second session. Results: The brief alliance scales demonstrated adequate internal consistency and the individual items had good adjusted item-to-scale correlations. Consistent with the broad alliance literature, we found that patients rated alliance higher than therapists, patient and therapist alliance ratings were not significantly correlated, and level of functioning was significantly associated with both patients and therapists' alliance ratings. The perceived depth of psychotherapy was also significantly associated with alliance. Unexpectedly, alliance ratings were also negatively associated with improvement during hospitalization. Conclusions: Overall, the study demonstrates both the feasibility and potential benefit of conducting inpatient psychotherapy research.,Copyright © 2009 John Wiley & Sons, Ltd. Key Practitioner Message: This paper shows that inpatient psychotherapy can be studied and potentially improved through the application of brief targeted instruments. [source] | |||||||||||||